Volumenersatztherapie – ist weniger mehr?

Was ist neu?

• Kristalloide oder kolloide Lösung? HAES-Produkte sollte bei der Behandlung von Patienten im akuten septischen und traumatischen Shock vermieden werden.

• GOAL-directed-fluid-Therapie: Das Prinzip der zielgerichteten Volumentherapie („Goal-directed fluid therapy“) ist grundsätzlich richtig und hat sich bewährt. Eine „Über-Infusion“ mit Hypervolämie steigert jedoch die Mortalität und ist zu vermeiden. Parameter, die die Dynamik der Kreislaufreaktion erfassen, sind zur Steuerung des Volumenmanagement statischen Messwerten überlegen.

Schlüsselwörter

Volumenmanagement - HAES - Albumin

Key Words

volume management - HAES - albumin

• Literaturverzeichnis

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